Active NPI
Hak-Joong Kim, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Milwaukee, WI
National Provider Identifier
1306906664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 20698
- Practice address
- 5757 W Oklahoma Ave
Suite 101
Milwaukee, WI 53219-4303 - Phone
- (414) 321-1900
- Fax
- (414) 321-0089
- NPI assigned
- Dec 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 20698 | WI | Primary |
Addresses
Primary practice location
5757 W Oklahoma Ave
Suite 101
Milwaukee, WI 53219-4303
Mailing address
320 Sheffield Dr
Brookfield, WI 53005-7926
Phone (414) 321-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30147600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20698 | WI | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1306906664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SHEFFIELD DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530057926",
"telephone_number": "414-321-1900",
"fax_number": "414-321-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 W OKLAHOMA AVE",
"address_2": "SUITE 101",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532194303",
"telephone_number": "414-321-1900",
"fax_number": "414-321-0089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HAK-JOONG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-09",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WI",
"license": "20698",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30147600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.